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1. A nurse is caring for a patient with ARDS. What treatment orders might the
nurse see from the provider for the patient? - ANSWER ✔ Place them prone and
on PEEP
2. What are complications of PEEP? - ANSWER ✔ Pneumothorax
Low BP
3. What is ventilator associated pneumonia? - ANSWER ✔ Infection from being
on the ventilator for a long time
4. A nurse is learning about ARDS. What are the causes of ARDS? - ANSWER ✔
Sepsis, Infection, burns, near drowning, trauma, shock.
5. A client with a bone infection is getting information on ensuring his infection
does not progress into sepsis or septic shock. What might be some risk factors of
the conditions? - ANSWER ✔ Infection risks, chancer, chemo,
immunocompromised states, immunosuppressants, HIV
6. A nurse will be preparing to care for a newly intubated patient. What are some
things she must prepare and remember while caring for the patient? - ANSWER ✔
Place ambu bag at bedside, suction PRN, switch tube once a shift, assess
respiratory status every 2 hrs, oral and mouth care every 2 hrs, wash hands, expect
orders for PPI or H2RB,
7. A patient is suspected to have a PE while in the ED. What might be some
manifestations of this occurring? - ANSWER ✔ Low o2 saturation, low BP,
sudden severe SOB, chest pain, LOC changes, petechiae, lung edema , ascites.
, 8. A client was recently just extubated and now is showing signs of stridor and low
oxygen levels. What might of occurred and who should be called? - ANSWER ✔
Irritation fo the throat form the tube. Call RRT
9. What are clinical manifestations of hypovolemic shock? - ANSWER ✔ weak
and thready pulse, decreased BP, increased HR, altered LOC, shallow and fast
respiration, long capillary refill, decreased H/H, low urine output.
10. A client has fluid volume excess due to heart failure. What are some of the
important cardiac findings for this condition? - ANSWER ✔ Bounding pulse, JVD,
central venous pressure is high, wedge pressure is high
11. What must the nurse do immediately when a patient presents with an inhalation
injury? - ANSWER ✔ Intubate to assume an airway, assess respiratory status.
12. A burn patient presents to the ED. What are some of the signs they may present
with leading to an inhalation injury? - ANSWER ✔ SOB, soot around nose, singed
facial hairs, drooling, not swallowing, black membranes.
13. What things could cause an elevated wedge pressure? - ANSWER ✔ FVE, left
ventricular failure
14. What are the components of DIC? - ANSWER ✔ Inappropriate clotting that
uses up all the clotting factors and bleeding due to not having enough clotting
factors bath the same time.
15. A client comes in to the ED experiencing DIC. What treatment might the
provider order for this condition? - ANSWER ✔ Clotting factors, blood, plasma,
platelets, heparin or other anticoagulant
16. What could happen if DIC is not treated? - ANSWER ✔ Refractory shock,
septic shock, excessive blood loss
17. A client is scheduled to go in for an escharotomy. What does this procedure
entail? - ANSWER ✔ Involves surgical incision through the hardened dermis in
3rd and 4th degree burns to allow for circulation.